GOVT mandated Health is not reform.

HR 3200 proposed

Where is the integrative wellness mandate to heal the people and the US health care system in this bill?

Read the bill. The bill  is very technical  but try to distinguish if the sections on these pages are as wide reaching as they seem.This bill is much more than keeping your plan and your doctor. Your plan, your doctor and your hospital will be mandated by the govt to provide a govt prescribed level of care. If these items are true and become the law of the land there will be far reaching effects and consequences.

This is not real reform because there is no real reform without medical malpractice tort reform.

This is not real reform without the wellness integrative medicine mandate.


Page 29: Medical Admissions
Page 30: A government committee will decide what treatments and benefits you get, limited appeals process
Page 42: The “Health Choices Commissioner” will allocate health benefits
Page 50: All non-US citizens, illegal or not, will be provided with free healthcare services
Page 58: Every person will be issued a National ID Healthcard.
Page 59: The federal government will have direct, real-time access to  individual bank accounts for electronic funds transfer.
Page 65: Taxpayers will subsidize union retiree and community organizer health plans
Page 72: All private healthcare plans must conform to government rules to participate in a Healthcare Exchange
Page 84: All private healthcare plans must participate in the Healthcare Exchange
Page 91: Government mandates linguistic infrastructure for services
Page 95: The Government will pay certain groups to sign up individuals for Government-run Health Care plan
Page 102: Those eligible for Medicaid will be automatically enrolled
Page 124: No company can sue the government for price-fixing. No judicial review
Page 127: Government will set doctors wages.
Page 145: An employer MUST auto-enroll employees into the government-run public plan
Page 126: Employers MUST pay healthcare bills for part-time employees and their families
Page 149: Any employer with a payroll of $400K or more, who does not offer the public option, pays an 8% tax on payroll
Page 150: Any employer with a payroll of $250K-400K or more, who does not offer the public option, pays a 2 to 6% tax on payroll
Page 167: Any individual who does not have acceptable healthcare will be taxed 2.5% of income.
Page 170: Any NON-RESIDENT alien is exempt from individual taxes
Page 195: Officers and employees of Government Healthcare Bureaucracy will have access to personal financial records
Page 203: The tax imposed under this section shall not be treated as tax
Page 239: Bill will reduce certain physician services for Medicaid.
Page 241: Doctors of all specialties will be paid the same.
Page 253: Government sets value of doctors’ time, their professional judgment
Page 265: Government mandates and controls productivity for private healthcare industries.
Page 268: Government regulates rental and purchase of power-driven wheelchairs.
Page 272: Cancer patients mandated levels of care
Page 280: Hospitals will be penalized for what the government deems preventable re-admissions.
Page 298: Doctors: if you treat a patient during an initial admission that results in a readmission, then penalized by the government.
Page 317: Doctors: you are now prohibited for owning and investing in healthcare companies!
Page 318: Prohibition on hospital expansion. Hospitals cannot expand without government approval.
Page 321: Hospital expansion hinges on “community” input
Page 335: Government mandates establishment of outcome-based measures: i.e., rationing.
Page 341: Government has authority to disqualify Medicare Advantage Plans, HMOs
Page 354: Government will restrict enrollment of SPECIAL NEEDS individuals.
Page 379:  Telehealth Advisory Committee
Page 425: Advance Care Planning Consult paid medical visit.
Page 425: Government will instruct and consult regarding living wills, durable powers of attorney
Page 425: Goverment provides approved list of end-of-life resources, guiding you in death.
Page 427: Government mandates program that approves end-of-life treatment
Page 429: Advance Care Planning Consult will be used to dictate treatment as patient’s health deteriorates
Page 430: Government will decide what level of treatments you may have at end-of-life.
Page 469: Community-based Home Medical Services
Page 472: Payments to Community-based organizations
Page 489: Government will cover marriage and family therapy
Page 494: Government will cover mental health services

That is paraphrased from the first 500 pages. HR3200 is much more than Health Insurance Reform.

This is the Whitehouse reality check facts page about the stability of Health Insurance Reform.

James Tad Geiger MD

6 Responses to “GOVT mandated Health is not reform.”

  1. To CEO’s: Why U.S. Firms are Losing the Health Care Battle, And What It’s Going to Take for You and Your Firm to Win It – Health-Care Reform or Not « The Prevention Revolution said:

    Aug 30, 09 at 8:16 pm

    [...] Also:  Dr. James Geiger’s perspective in his post on Health Care Reform at his blog site. Possibly related posts: (automatically generated)“Surprised” by [...]

  2. James Geiger MD, the oilMD said:

    Oct 27, 09 at 4:47 am

    HR 3200 changes hourly.

    Urge support for anesthesiology-specific amendment to H.R. 3200

    Rep. Eddie Bernice Johnson (D-TX-30) has introduced an amendment to H.R. 3200, health reform legislation in the U.S. House of Representatives, that would de-link anesthesia payments from Medicare rates under a public plan.

    Under the “Johnson Amendment,” payments for anesthesia services would be based on the average of the payment rates of commercial insurers and health plans participating in the “Exchange.” This would level the playing field and ensure fair anesthesiology payments.

    Please call your Representative and ask him or her to support the Johnson amendment.

    Democratic leadership is involved in closed-door negotiations to craft the final House health reform bill. In the process, they must merge three separate Committee versions of the bill, two of which include a public plan based upon Medicare payment rates. ASA has consistently lobbied for negotiated payment rates, as included in a third Committee version of H.R. 3200.

    The content of H.R. 3200 changes hourly. However, press reports and information from ASA lobbyists indicate that the House is leaning heavily toward including a public plan tied to Medicare rates.

    Rep. Johnson is working with Speaker Pelosi’s office in an effort to have her amendment language incorporated into whatever version of H.R. 3200 is ultimately brought to the floor of the House by the Democratic leadership. The precise mechanism by which the language would be incorporated has not yet been determined. Additionally, the specific date for full House consideration of H.R. 3200 has not yet been determined but could occur within the next 7-10 days.

  3. The Green Theory of Meaningful Ageing « Thesweetsmellofsuccess’s Blog said:

    Oct 31, 09 at 8:27 am

    [...] the US health care system by promoting integrative medicine which is preventative and enhances meaningful [...]

  4. uberVU - social comments said:

    Oct 31, 09 at 11:55 am

    Social comments and analytics for this post…

    This post was mentioned on Twitter by theoilMD: HR 3200 is much more than keeping your doctor and your plan. Without malpractice tort reform there is no real reform. SEE http://ow.ly/jKbb...

  5. James Geiger MD, the oilMD said:

    Nov 03, 09 at 5:06 am

    UPDATE
    - H.R. 3962 contains a government-run option which will crowd out private plans over time.

    - H.R. 3962 does not clearly prohibit funding for abortions.

    - H.R. 3962 does not require Members of Congress to join the government-run health plan.

    - H.R. 3962 does not adequately address medical liability reform, which could help control healthcare costs. In fact, those states that have laws on the books that limit medical malpractice punitive claims will essentially be forced to change their laws or risk losing federal funding.

    - H.R. 3962 places a tax on businesses where they will have to surrender 8% of their payroll if they do not offer insurance to their employees or pay at least 72.5% of their employees’ premiums.

  6. James Geiger MD, the oilMD said:

    Nov 14, 09 at 4:47 am

    If Americans knew the latest data…..would they still support Obamacare?

    1. The $400 billion cut in Medicare

    2. The inevitable scarcity that will result from the addition of 35 million new patients with no new doctors or nurses

    3. The fine on the uninsured of 2.5 percent of their income if they don’t buy insurance

    4. The high cost of these mandatory insurance policies ($15,000 per family)

    5. The low level of subsidy available for the uninsured (only after they pay 8-12 percent of their incomes)

    6. The likelihood of a $1,700 increase in the average family’s premiums

    7. The possibility of up to five years in prison for failing to buy insurance or pay the fine

    8. The taxation of medical devices like pacemakers, wheelchairs, prosthetic limbs, hearing aids, etc.

    9. The tax on sick people (increasing the threshold for deducting medical expenses from 7.5 percent to 10 percent of income

    10. The additional fiscal burden on the states of the increase in Medicaid eligibility

    11. The 40 percent tax on health insurance premiums that will affect households earning more than $75,000 by the fifth year of the plan.


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